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NPI 1073421384

NPI 1073421384 : EMILIE NYHOLM : OMAHA, NE

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General NPI Number Information
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    NPI Number           |    1073421384
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    Entity Type          |    Individual 
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    Provider Name        |    EMILIE NYHOLM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2026
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    Last Update Date     |    08/28/2026
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Provider Practice Location Address
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    Address Line         |    717 N 32ND ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68131-2139
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    Country              |    US
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    Telephone            |    531-299-2040
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6029 S 149TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68137-2530
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    Country              |    US
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    Telephone            |    402-880-1039
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    8262
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    3241
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    14556
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    License Number State |    NE
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